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Seek immediate medical attention at an emergency department if you have any of the following symptoms in addition to back pain: Loss of control of your bowels and bladder Severe pain, numbness, or weakness High fever Testing & Diagnosis While a diagnosis can usually be made through history and a physical examination, plain x-rays, computed tomography (CT) or magnetic resonance imaging (MRI) can help in confirming diagnosis, predicting prognosis and determining the best treatment option for the patient